MEDICARE: MR. THOMAS A GERESSY JR. LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	72322	TX
2	101YP2500X	Professional Counselor	2062	SC
3	101YM0800X	Mental Health Counselor	TPMC5249	FL
4	101YP2500X	Professional Counselor	12413	OK

General Provider Information

NPI Number	:	1730550617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS A GERESSY JR. LPC

Provider Business Mailing Address
First Line	:	300 DOE CREEK RD
Second Line	:
City	:	SARDIS
State	:	TN
Zip	:	38371-3010
Country	:	US
Telephone Number	:	469-712-5419
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 S CENTRAL EXPY
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-3742
Country	:	US
Telephone Number	:	972-548-5495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2015
Last Update Date	:	02/24/2026

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